Endodontic Surgical Aids

1.Antibiotic prophylaxis does not have a clinical effect on postoperative infections.

2. Routine prophylactic antibiotic Rx not recommended.

Low-dose aspirin therapy should not be stopped before oral surgery. Local hemostasis is sufficient to control bleeding.

CaS is good at achieving hemostasis and allows for a good view of the area. May help reduce surgical time.

Epinephrine provides excellent hemostasis with no evident changes in blood pressure or pulse rate. CollaCote is a plausible vehicle for delivery.

Racemic-epinephrine (Epinephrine concentration # 2 = 0.55 mg/pellet) pellets can be used for hemostasis with no cardiovascular effect.

Ferric Sulfate may be a good hemostatic agent during retrograde RCT

If a hemostatic agent is going to be used, Gel foam should be considered of these materials since it inhibited osseous regeneration much less than Surgicel or Bone wax.

The use of 1:50,000 epi results is 50% less blood loss during flap surgeries